CARECONNECT HEALTH INC. NPI 1144401787

NPI Information

NPI: 1144401787
Provider Name: CARECONNECT HEALTH, INC.

Doing Business As: CARECONNECT FAMILY PRACTICE AND PEDIATRICS

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
636 2ND AVENUE, SW
ROCHELLE, GA
ZIP 31079
Phone: (229) 365-2570
Get Directions

CARECONNECT HEALTH, INC. is a federally qualified health center (fqhc) clinic center in Rochelle, GA. CARECONNECT HEALTH, INC. NPI is 1144401787. The provider is registered as an organization entity type.
The provider Is Doing Business As Careconnect Family Practice And Pediatrics.

The provider's business location address is:

636 2ND AVENUE, SW
ROCHELLE, GA
ZIP 31079-046
Phone: (229) 365-2570
Fax: (229) 365-2571

The provider's authorized official is Linda Young .
The authorized official title is Secretary and has the following contact phone number (229) 273-8881.

The CLIA number assigned to this NPI record is 11D1076336 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/26/2007 and was last updated on 1/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	654828836A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »